Sandra J Dock, PA-C
Physician Assistant in Waterbury, Connecticut
1770695140- Practice location
- 170 Grandview Ave, Waterbury, CT 06708-2525
- Phone
- 203-759-3666
- Fax
- 203-759-3671
- Last updated
- July 3, 2013
Sandra J Dock is a Physician Assistant based in Waterbury, CT. Sandra J Dock practices in Waterbury, CT and has the professional credentials of PA-C. The NPI Number for Sandra J Dock is 1770695140 and holds a License No. 001213 (CT). The current practice location address for Sandra J Dock is 170 Grandview Ave, Waterbury, CT 06708-2525 and can be reached out via phone at 203-759-3666 and via fax at 203-759-3671.
Provider Profile Details
- NPI Number
- 1770695140
- Provider Name
- Sandra J Dock
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 170 Grandview Ave, Waterbury, CT 06708-2525
- Phone Number
- 203-759-3666
- Fax Number
- 203-759-3671
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 31, 2006
- Last Update Date
- July 3, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 170 Grandview Ave
Waterbury, CT 06708-2525 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2525
- Phone Number
- 203-759-3666
- Fax Number
- 203-759-3671
Provider Business Mailing Address Details
- Address
- 170 Grandview Ave
Waterbury, CT 06708-2525 - City
- Waterbury
- State
- CT
- Zip
- 06708-2525
- Phone Number
- 203-759-3666
- Fax Number
- 203-759-3671
License Information
- License Number
- 001213
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sandra J Dock, PA-C?
The NPI number of Sandra J Dock, PA-C is 1770695140. It was assigned on August 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Sandra J Dock, PA-C?
Sandra J Dock, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 001213.
Where does Sandra J Dock, PA-C practice?
The practice location is 170 Grandview Ave, Waterbury, CT 06708-2525. The office can be reached at 203-759-3666 (phone) or 203-759-3671 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770695140 directly on the NPPES registry website.